Suklidɔ nye dɔléle si bɔ si ŋu ame geɖe le nu ƒom tsoe le míaƒe hadomegbenɔnɔ me egbea, eye ame aɖewo vɔ̃na vie. Anɔ eme be èse nuƒoƒo tso esia ŋu zi geɖe le aƒeme, le ƒometɔwo dome, kple xɔlɔ̃wo dome. Eyata egbea, mina míaƒo nu tso suklidɔ ƒomevi si bɔ wu, ‘Type 2 Diabetes’ ŋu. Ne wokpɔ esia gbɔ nyuie la, menye nusi wòle be woavɔ̃ na o, ɖo ŋku edzi gbã.
Kpuie ko la, nukae nye suklidɔ ƒomevi evelia?
Enyo, mina míase esia gɔme bɔbɔe ŋutɔ. Nuɖuɖu si míeɖuna la tsɔa sukli (si míeyɔna be ``Glucose'') kpena ɖe míaƒe ʋu ŋu. Sukli siae naa ŋusẽ míaƒe ŋutilã. Gake míehiã ame aɖe si aɖo sukli sia ɖe míaƒe ŋutilã ƒe lãmenugbagbeviwo me. Dɔ ma nye lãmetsi aɖe si woyɔna be ``Insulin'', si ŋutinu aɖe si woyɔna be míaƒe dɔgbo wɔ. Bu insulin be enye safui si ʋua míaƒe lãmenugbagbeviwo ƒe ʋɔtruwo.
Kuxi eve dometɔ ɖeka dzɔna le suklidɔ ƒomevi evelia me.
1. Insulin ƒe Tsitretsitsi: Ɣeaɖewoɣi la, míaƒe ŋutilã ƒe lãmenugbagbeviwo mewɔa nu nyuie ɖe safui ma (insulin) ŋu o. Ðeko wòle abe ɖe ʋɔtru aɖe ƒe safui xɔ dzo ene. Emegbe togbɔ be insulin le eme hã la, lãmenugbagbeviawo ƒe ʋɔtruwo meʋuna o.
2. Insulin ƒe anyimanɔmanɔ: Le ɣeyiɣi aɖe megbe la, míaƒe dɔgbo wɔa dɔ sesĩe be yeawɔ insulin be wòaɖu dɔlélenutsiŋutete sia dzi. Gake le ɣeyiɣi aɖe megbe la, ɖeɖi tea eŋu akpa eye mete ŋu wɔa insulin si sɔ o.
Le susu eve siawo ta la, sukli si le ʋua me mate ŋu age ɖe lãmenugbagbeviwo me o eye wòƒoa ƒu ɖe ʋua me. Esia tae míeyɔa sukli ƒe agbɔsɔsɔ si sɔ gbɔ ɖe ʋu me be `(Hyperglycemia) .` Zi geɖe la, sukli ƒe agbɔsɔsɔ si le ame si le lãmesẽ me ƒe ʋu me nɔa 70-99 mg/dL dome. Gake le suklidɔléla gome la, agbɔsɔsɔ sia ate ŋu anye 126 mg/dL alo esi wu nenema gɔ̃ hã.
Nukae nye dɔléle sia ƒe dzesiwo? Kpɔe ɖa be esiawo hã le asiwò hã
Nu tɔxɛ siwo le suklidɔ ƒomevi evelia ŋu dometɔ ɖekae nye be zi geɖe la, eƒe dzesiwo dzena blewu ŋutɔ. Eyata ɖewohĩ ame aɖewo menya gɔ̃ hã be suklidɔ le yewo ŋu o ƒe geɖe. Gake ele be nànya dzesi siwo gbɔna.
| Dzesi si dzena | Numeɖeɖe bɔbɔe aɖe |
|---|---|
| Tsikɔwuame enuenu | Sukli si sɔ gbɔ ɖe ʋu me nana ayikuwo wɔa dɔ sesĩe wu. Esia nana tsi nɔa tsi me eye wònana nèsena le ɖokuiwò me be yeano tsi geɖe. |
| Aɖuɖɔɖɔɖɔ enuenu | Ele be nàɖe aɖuɖɔ enuenu elabena ènoa tsi fũ eye wò ayikuwo le agbagba dzem be yewoaɖe sukli si sɔ gbɔ ɖe wò ŋutilã me ɖa. |
| Dɔwuame wu alesi wònɔna ɖaa | Esi sukli megena ɖe lãmenugbagbeviwo me o ta la, ŋusẽ si ŋutilãa hiã la mesu esi o. Eyata eɖoa dzesiwo ɖe ahɔhɔ̃a ɣesiaɣi be "dɔ le wuyem." |
| Ðeɖiteameŋu ƒe seselelãme ɣesiaɣi | Ŋutilãa senɛ le eɖokui me be agbe mele ye si o eye ɖeɖi tea eŋu elabena lãmenugbagbeviawo mete ŋu xɔa sukli si naa ŋusẽ o. |
| Abi ƒe dɔyɔyɔ si tsi megbe | Sukli ƒe agbɔsɔsɔ si sɔ gbɔ ɖe ʋu me doa kplamatse ʋu ƒe sisi eye wògblẽa nu le lãmekawo ŋu, si ate ŋu ana abi ƒe hayahaya nagbɔdzɔ. |
| Afɔ kple afɔwo ƒe ʋuʋu alo ʋuʋudedi | Sukli ƒe agbɔsɔsɔ si sɔ gbɔ ɖe ʋu me ate ŋu agblẽ nu le lãmekawo ŋu. Míeyɔa esia be ``Ahɔhɔ̃mekawo ƒe dɔléle``. |
| Nukpɔkpɔ si me mekɔ o | Tɔtrɔ siwo va le sukli ƒe agbɔsɔsɔ me le ʋu me ate ŋu agblẽ nu le ŋkua ƒe ŋkumeɖonu ŋu, si ana ŋkua ƒe nukpɔkpɔ natsi ɣeyiɣi kpui aɖe. |
| Lolo dzi ɖeɖe kpɔtɔ le susu aɖeke manɔmee | Ne lãmenugbagbeviwo mete ŋu kpɔ sukli hena ŋusẽ o la, ŋutilãa dzea lãmekawo kple amiwo gbagbã gɔme hena ŋusẽkpɔkpɔ. |
Le nyɔnuwo gome la, vidzidɔ me amɔwɔʋãnu ƒe dɔléle alo aɖuɖɔtoe me dɔléle (UTI) enuenu hã ate ŋu anye suklidɔ ƒe dzesi. Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, ele vevie be nàyi ɖɔkta gbɔ enumake aɖaɖo aɖaŋu na wò.
Nukatae suklidɔ ƒomevi 2 lia xɔa mí? Nukawoe nye afɔku siwo le eme?
Nu ɖeka aɖeke meli si gbɔ suklidɔ tsona o. Enye nu geɖewo ƒe ƒuƒoƒo.
Nu vevitɔe nye be suklidɔ menye dɔléle si nye wò vodada o. Enye nugbagbewo ƒe dɔwɔwɔ sesẽ aɖe me tsonu.
Susu vevitɔe nye ``Insulin Resistance'' si ŋu míeƒo nu tsoe va yi. Nu vevi siwo kpɔa ŋusẽ ɖe edzie nye esiawo:
- Domenyiŋusẽfianu: Ne suklidɔ le dawò, fofowò, alo nɔviwòwo ŋu la, ele afɔku gã aɖe me be nàxɔe. Le kpɔɖeŋu me, ne suklidɔ le dziwòlawo dometɔ ɖeka ŋu la, mɔnukpɔkpɔ 40% li be nàxɔe. Ne ele dzila eveawo siaa si la, xexlẽme ma dzina ɖe edzi va ɖoa 70%. Gake ema mefia be àtue ɖo godoo o. Ðeko wòfia be ele be nàɖɔ ŋu ɖo vie wu.
- Lolo akpa kple lolo akpa: Ami si le dɔgboa me, vevietɔ ami si ƒoa ƒu ɖe ƒodoa ƒe akpa kple ŋutinu ememetɔwo ŋu, nye nu vevi aɖe si nana insulin ƒe dɔlékuiwo te ŋu nɔa te ɖe dɔlékuiwo nu.
- Kamedede ƒe anyimanɔmanɔ: Insulin ƒe dɔlélenutsiŋutete hã dzina ɖe edzi ne kamedede dzi ɖe kpɔtɔ.
- Nuɖuɖu si me nunyiame mele o: Nuɖuɖu siwo ŋu wotrɔ asi le nyuie, siwo me carbohydrates sɔ gbɔ ɖo, kple esiwo me ami sɔ gbɔ ɖo ɖuɖu edziedzi hã nye afɔku.
- Ƒe: Afɔkua dzina ɖe edzi le ƒe 45 xɔxɔ vɔ megbe.
- Atikewɔwɔ me nɔnɔme bubuwo: Amesiwo ŋu dɔlélewo abe ʋusɔgbɔdɔ, ʋumemi ƒe agbɔsɔsɔ fũ, fufɔfɔ ƒe suklidɔ, kple polycystic ovarian syndrome (PCOS) hã le afɔku me wu.
Kuxi kawoe ate ŋu ado mo ɖa ne womeɖu suklidɔ dzi o?
Afi siae wòle be mí katã míaƒe susu nanɔ wu. Ne míenya be suklidɔ le mía ŋu hã la, ne womeɖu edzi nyuie o la, le ɣeyiɣi aɖe megbe la, ate ŋu agblẽ nu le míaƒe ŋutilã ƒe ŋutinu vevitɔwo ŋu.
| Ŋutilã ƒe ɖoɖo si ŋu wògblẽ nu le | Kuxi siwo ate ŋu ado mo ɖa |
|---|---|
| Dzi kple ʋukawo | Dzidɔ, ʋusɔgbɔdɔ, ʋusɔgbɔdɔ. |
| Ŋkuwo | Ŋkudɔ, ŋkudɔ, ŋkudɔ, eye mlɔeba ŋkuagbã ate ŋu adzɔ. |
| Ayikuwo | Ayikuawo ate ŋu agblẽ eye mlɔeba woado kpo nu gɔ̃ hã. |
| Lãmetsiŋusẽ ƒe dɔwɔwɔ | Afɔkpodzi ƒe ʋuʋu, dzobibi, vevesese le abɔwo kple afɔwo me. Ɣeaɖewoɣi la, abi si woxɔ le afɔwo ŋu gɔ̃ hã ate ŋu adze ame dzi. |
| Afᴐwo | Abi siwo wowɔ le manyamanya me ate ŋu adzo le manyamanya me, woate ŋu axɔ dɔlékuiwo, eye mlɔeba ana wòahiã be woaɖe afɔa ƒe akpa aɖe ɖa. |
Tsɔ kpe ɖe eŋu la, woyɔa nɔnɔme si me afɔku le si ate ŋu adzɔ kpata be `(Hyperosmolar Hyperglycemic State - HHS). Le esia me la, sukli ƒe agbɔsɔsɔ si le ʋu me dzina ɖe edzi ŋutɔ ŋkeke geɖe, tsi vɔna le ŋutilãa me keŋkeŋ, eye eƒe susu meganɔa nu ŋu nyuie o. Esia nye nudzɔdzɔ kpata si me afɔku le ŋutɔ eye wòdea ame ƒe agbe afɔku me. Ne dzesi mawo dze la, ele be woakplɔ wò ayi kɔdzi ƒe Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) enumake.
Aleke ɖɔktaa wɔa anya dɔléle sia pɛpɛpɛ?
Ne èsusu be suklidɔ le ye ŋu la, wò ɖɔkta awɔ ʋudodokpɔ bɔbɔe ʋɛ aɖewo atsɔ aɖo kpe edzi.
- Nutsitsidɔ ƒe Plasma Glucose Dodokpɔ: Wowɔa esia le ŋdi me ne mèɖu naneke alo no naneke o abe gaƒoƒo 8 ene vɔ megbe. Ne sukli ƒe agbɔsɔsɔ le wò ʋu me nye 126 mg/dL alo esi wu nenema la, ate ŋu anye suklidɔ.
- Random Plasma Glucose Test: Woate ŋu awɔ esia le ŋkekea ƒe ɣeyiɣi ɖesiaɖe me. Ne sukli ƒe agbɔsɔsɔ si le asiwò nye 200 mg/dL alo esi wu nenema la, ke enye suklidɔ ƒe dzesi hã.
- A1C Dodokpɔ: Esia dzidzea wò ʋumesukli ƒe agbɔsɔsɔ le mama dedie nu le ɣleti 2-3 siwo va yi me. Ne xexlẽme sia nye 6.5% alo esi wu nenema la, eɖo kpe suklidɔ dzi.
Dodokpɔ siawo koe nye mɔ si dzi nàto anya kakaɖedzitɔe ne suklidɔ le ŋuwò ŋutɔŋutɔ alo mèle ŋuwò o.
Aleke woawɔ akpɔ suklidɔ gbɔe?
Enyo, fifia míeva ɖo akpa vevitɔ kekeake gbɔ. Suklidɔ nye dɔléle si togbɔ be womate ŋu adae o hã la, woate ŋu aɖu edzi nyuie ŋutɔ eye woate ŋu akpɔ egbɔ be wòanɔ agbe le lãmesẽ me kuxi aɖeke manɔmee . Ele abe ƒuƒoƒo ƒe kamedefefe ene. Ele be wò, wò ɖɔkta, nuɖuɖuŋutinunyala, kple wò ƒomea nawɔ dɔ aduadu awɔ esia.
Nu vevi etɔ̃e li:
1. Agbenɔnɔ ƒe tɔtrɔ (nuɖuɖu kple kamedede) .
2. Atikewo (atikewo) .
3. Sukli ƒe agbɔsɔsɔ dzi kpɔkpɔ le aƒeme
1. Agbenɔnɔ ƒe tɔtrɔ
Esiae nye atikewɔwɔ ƒe gɔmeɖoanyi. Esesẽna be woatsɔ atike ɖeɖeko aɖu esia dzi.
- Nuɖuɖu: Mègavɔ̃ be yeagblɔ be "nuɖuɖu," esia mefia be nàɖu nuɖuɖu siwo me mekɔ o, siwo me mekɔ o ko o. Ƒo nu kple wò ɖɔkta alo nuɖuɖuŋutinunyala aɖe be nàwɔ nuɖuɖu si da sɔ si sɔ na wò. Le goawo katã me la, anyo wu be nàde amagbe siwo me starch mele o, nuɖuɖu siwo me fibre sɔ gbɔ ɖo, protein siwo me ami mele o (tɔmelã, koklozi), kple ami nyuiwo (avocado, nukuwo) wò nuɖuɖu me.
- Kamedede: Kamedede bɔbɔe abe azɔlizɔzɔ sesĩe aɖabaƒoƒo 30 gbesiagbe, ŋkeke 5 le kwasiɖa me ene gɔ̃ hã ate ŋu awɔ nukunuwo le wò ʋumesukli ƒe agbɔsɔsɔ dzi ɖuɖu me. Ne míele kame dem la, míaƒe lãmenugbagbeviwo va sea nu gɔme na insulin wu.
2. Atikewo (atikewo) .
Esesẽna na ame aɖewo be woaɖu sukli ƒe agbɔsɔsɔ le woƒe ʋu me dzi ne wowɔ tɔtrɔ le agbenɔnɔ me gɔ̃ hã. Ɣemaɣie ɖɔktaa ŋlɔa atike na wò.
- Atike Siwo Wonona: Atike siwo woŋlɔna na ame zi geɖe, abe Metformin ene, wɔa dɔ tsɔ ɖea insulin ƒe dɔlélenutsiŋutete dzi kpɔtɔna le ŋutilãa me eye wokpɔa sukli si aklãa wɔna dzi kpɔtɔna.
- Insulin dodo: Ame aɖewo ƒe insulin wɔwɔ dzi ɖena kpɔtɔna ŋutɔ le ɣeyiɣi aɖe megbe. Emegbe ele be woano insulin le gota le atike si wodona na wo me. Insulin gɔmedzedze mefia be wò nɔnɔmea nu sẽ o. Enye mɔnu nyui aɖe ŋutɔ si dzi woato aɖu sukli dzi.
3. Sukli ƒe agbɔsɔsɔ dzi kpɔkpɔ le aƒeme
Ele vevie ŋutɔ be nàzã suklidzidzenu atsɔ ado sukli ƒe agbɔsɔsɔ le ʋu me kpɔ le aƒeme, abe alesi wò ɖɔkta kafui ene. Esia akpe ɖe ŋuwò nàse alesi nuɖuɖu siwo nèɖuna, kamedede si nèwɔna, kple atike siwo nènona kpɔa ŋusẽ ɖe wò ʋumesukli ƒe agbɔsɔsɔ dzii gɔme.
Ðe woate ŋu ada suklidɔ keŋkeŋa?
Nya sia nye nya si ame geɖe biana. Ŋuɖoɖo kpuiae nye "ao." Suklidɔ ƒomevi evelia nye dɔléle si nɔa anyi didi. Ema fia be enye nusi nɔa mía ŋu le míaƒe agbemeŋkekewo katã me.
Gake togbɔ be womate ŋu adae o hã la, woate ŋu ahee ava "ɖeɖiteameŋu" me, si fia be dzesi aɖeke mele eŋu o eye wò ʋumesukli ƒe agbɔsɔsɔ le seɖoƒe si sɔ me atike manɔmee. Ame aɖewo ate ŋu awɔ esia, vevietɔ to lolo dzi ɖeɖe kpɔtɔ kple agbenɔnɔ ƒe tɔtrɔ kpatawo me. Gake menye ame sia ame tɔe wònye o. Azɔ hã, ne ètrɔ yi wò numame xoxoawo gbɔ la, wò ʋumesukli ate ŋu adzi ɖe edzi ake.
Eyata nu nyuitɔ si nàwɔe nye be nàsrɔ̃ alesi nànɔ agbe kplii, tsɔ wu be nàdze agbagba adae.
Gbedasi si Wotsɔ Yi Aƒeme
- Suklidɔ ƒomevi evelia nye ne wò ŋutilã mete ŋu zãa insulin nyuie o. Menye nusi wòle be woavɔ̃ na o, ke boŋ enye nusi dzi woate ŋu akpɔ nyuie.
- Dzesiwo abe tsikɔwuame enuenu, aɖuɖɔtoe enuenu, kple ɖeɖiteameŋu ate ŋu adze vivivi. Eyata lé ŋku ɖe wò ŋutilã ŋu.
- Dɔdzikpɔkpɔ nye ƒuƒoƒo ƒe agbagbadzedze. Ele be wò, wò ɖɔkta, kple wò ƒomea miawɔ dɔ ɖekae.
- Nuɖuɖu nyui kple kamedede edziedzi nye atikewɔwɔ ƒe gɔmeɖoanyi. Atikewo zazã nye kpekpeɖeŋu bubu.
- Ne èyi ɖɔkta gbɔ ɖe game dzi eye wodo wò ŋku, ayiku, kple afɔwo kpɔ la, àte ŋu axe mɔ ɖe kuxi sesẽwo nu.
- Esia nye agbememɔzɔzɔ, gake ne èkpɔ egbɔ nyuie la, naneke meli si axe mɔ na wò be mànɔ agbe si me dzidzeme le, si me lãmesẽ le, eye dzidzɔ le o.
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